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M11871 <br />Office Pollog for ARELLANO TERESA <br />Polidy Num or 92-CT-6;904 <br />2CHED_UL_E OE AQ_QjTIQH& INTESgSTS <br />Interest Type: Addl Inslured-Section It <br />Endorsement OMP47861 <br />Loan Number: NIA <br />COVERED OALIFORNIA <br />560 J ST STE ' 290 <br />SACRAMENTO CA 958142339 <br />Thi's policy is issued by the §tats Farm General insurance Company, <br />Participating Policy <br />You are entitled to partlolpate in adistrlbution,ref the earnings of'the company as, determined byaour Board of Directors in <br />accordance with the Company's Articles of Incorporation, as amended. <br />In Wltneiitgi Whereof, the 8t4te F�arm (�snaygal Insurairide Co"rnp 'he policy -to be signed by fts4Presl <br />. .�.T , - - — r . I .,any s caused this diaht and <br />Secretary at Bloomjhgtori, Ileinotu, <br />Secretary President <br />IMPORTANT NOTICE: <br />California law requires us to provide you. with information for filing complaints, with the State Insurance <br />Department regarding the coverage and service provided under this policy.. <br />Complaints should be filed only after you and State: Farm or your agent or other company representative <br />have failed to reach a satisfactory agreement on a problem. <br />Please forward such complaints to: California Department of Insurance <br />Consum or Services Division <br />300 South Spring Street <br />Los Angeles, CA 90013 <br />0 <br />Prepared <br />AUG 19 2015 0 Copyright State Farm Mutual Automobile Insurance Company, 2008 <br />OMP-4000 Includes copyrighted material of Insurance Services Office, Inc,, with its permission, <br />011880 291 Page 6 of 6 <br />E <br />